STUDENT TRANSPORTATION FORM - Loveland, OH
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STUDENT TRANSPORTATION AND CHILDCARE FORM
FAMILY NAME______________________ PHONE #____________________ DATE_______________
We need to know the DEPARTING transportation information for each child to facilitate traffic flow and safety. To make changes to this plan at any point during the school year, please contact the office via email (office@) or phone (513-683-4757).
TRANSPORTATION
Please enter each child’s name and circle/highlight their regular DEPARTING transportation method along with the corresponding days of the week. Depending on your family’s transportation arrangements, you may need to use multiple lines for the same child.
CHILD NAME/CLASS TRANSPORTATION METHOD DAY(S) OF WEEK
/ Carpool / Bus M / T / W / TH / F
/ Carpool / Bus M / T / W / TH / F
/ Carpool / Bus M / T / W / TH / F
/ Carpool / Bus M / T / W / TH / F
/ Carpool / Bus M / T / W / TH / F
/ Carpool / Bus M / T / W / TH / F
/ Carpool / Bus M / T / W / TH / F
/ Carpool / Bus M / T / W / TH / F
• If your child will be riding the BUS, please indicate which school district:
Goshen Loveland Little Miami Milford
(513) 722-2229 (513) 683-3103 (513) 899-2941 (513) 575-1563
• If your child will be CARPOOL, please list those who have permission to pick-up your child and their relationship (continue on back of page, if necessary)
1. ____________________________________________________________
2. ____________________________________________________________
3. ____________________________________________________________
4. _______________________________________________________________________
5. _______________________________________________________________________
(Continued on other side)
CHILDCARE
• If your child will be using EARLY BIRD or AFTERCARE on a regular basis, please complete the childcare information below:
CHILD NAME/CLASS: _________________________________________________________
Before Care: ( Mon ( Tues ( Wed ( Thurs ( Fri ( Occasional Use Only
Aftercare: ( Mon ( Tues ( Wed ( Thurs ( Fri ( Occasional Use Only
CHILD NAME/CLASS: _________________________________________________________
Before Care: ( Mon ( Tues ( Wed ( Thurs ( Fri ( Occasional Use Only
Aftercare: ( Mon ( Tues ( Wed ( Thurs ( Fri ( Occasional Use Only
CHILD NAME/CLASS: _________________________________________________________
Before Care: ( Mon ( Tues ( Wed ( Thurs ( Fri ( Occasional Use Only
Aftercare: ( Mon ( Tues ( Wed ( Thurs ( Fri ( Occasional Use Only
PARENT SIGNATURE__________________________________DATE__________________
PARENT SIGNATURE__________________________________DATE__________________
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